Individual
MONSURATU SEGREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187-2696
(734) 844-6533
Mailing address
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187-2696
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120371
MI
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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